Subcision, Radiesse, Sculptra, Bellafill – March 11th, 2025
Hello everyone, I’m Dr. Qazi, a skin restoration specialist based in Newport Beach, California. My focus is primarily on treating acne scars, pigmentation issues, and facial balancing. Today, let’s dive into some common questions I receive on social media and through patient consultation as well as some other topics like subcision, radiesse, sculptra, bellafill and more.

Understanding Subcision and Its Effects
One recurring question I get is about subcision—what happens during the procedure, and why might it sometimes feel insufficient? When we perform subcision, our goal is to break up scar tissue beneath the skin. However, if there’s significant volume loss underneath, the results may not be immediately visible. In such cases, additional treatments like Radiesse, Sculptra, or Bellafill might be necessary to restore volume effectively. The process can be slower than expected, as gradual integration with the tissue often yields better, more natural results.
Laser Treatments for Acne Scars
Many patients ask whether ablative lasers are effective for moderate to severe acne scars and how many sessions are required. While energy devices alone tend to be ineffective for deep scars, a blended approach combining targeted energy applications with other treatments offers better outcomes. Typically, multiple sessions are needed, tailored to individual needs and responses.
Best Instruments for Subcision
When performing subcision, I predominantly use blunt cannulas due to their safety and efficacy. For particularly stubborn scars, tools like the Nokor needle or Taylor Liberator may be employed. These instruments allow precise manipulation and breaking up of dense scar tissues. Each tool has its place, depending on the depth and nature of the scar tissue.
Retinol and Acne Scar Improvement
Retinol can offer some improvement by regulating oil production and potentially reducing the appearance of certain types of scars. However, for deeper scars, retinol alone won’t suffice. Combining it with other treatments provides a more comprehensive solution. instructions. Patients wear protective masks, avoid sunlight entirely, and stay hydrated. Compliance is critical.
Consultation Costs and Treatment Planning
The consultation fee does go towards your treatment when booked directly via doctorqazi.com. This ensures continuity in care planning and allows us to address specific concerns thoroughly.
Subcision and Bellafill for Texture
Combining subcision with Bellafill can significantly enhance texture. Subcision breaks up scar tissue and stimulates collagen production, while Bellafill supports the area structurally. For optimal texture refinement, incorporating laser resurfacing or peels complements these efforts beautifully.
Timing CO2 Laser with Body Surgery
If you’re undergoing body plastic surgery, timing CO2 laser treatments appropriately is crucial. Depending on the surgical site, concurrent recovery might be feasible. Front-facing areas generally tolerate combined recoveries better than back regions requiring face-down positioning.
Tethering Post-Subcision Concerns
A frequent concern is whether subcision causes new tethering as the skin repairs itself. With proper technique using ample tumescent solutions, this risk is minimal. Ensuring correct depth and careful execution mitigates complications, preserving smooth outcomes.
Auditory Feedback During Subcision
Correctly performed subcisions don’t always produce audible popping sounds. The presence or absence depends on various factors including bond thickness, location, and procedural depth. Patients might sense slight tugging without pain, indicating successful release.
Sculptra and Potential Scarring Risks
Sculptra, being lactic acid-based, rarely causes permanent nodules. Overly concentrated formulations might lead to issues, necessitating corrective measures like steroids or excision. Proper dilution and technique minimize risks significantly.
Skin Regeneration Post-Erbium YAG Laser
Yes, new skin growth post-ablative Erbium YAG laser treatment is possible. A lighter touch often suffices, avoiding overly harsh settings that prolong healing unnecessarily. Following post-treatment instructions meticulously aids faster recovery and improved results.
Managing Redness Post-CO2 Laser with Tretinoin
Tretinoin helps manage oil production but must be balanced carefully post-laser to prevent excessive dryness exacerbating redness. Gradual escalation from mild retinol forms maintains equilibrium, promoting both oil control and healing..
Questions Answered
What happens when we do subcision and why sometimes you may feel like it didn’t help enough? Subcision aims to disrupt scar tissue; however, underlying volume loss might necessitate further volumizing treatments for noticeable improvements. Patience and incremental adjustments yield superior, lasting results.
Is ablative laser effective for moderate severe acne scars? How many sessions are required? While standalone ablative lasers show limited efficacy, a multifaceted strategy integrating focused energy delivers enhanced outcomes. Multiple sessions cater to personalized progressions and diverse scar profiles.
What are the best tools for subcision? Blunt cannulas excel in safety and precision, supplemented occasionally by specialized needles like Nokor or Taylor Liberators for challenging scar matrices.
Can retinol help improve acne scars? Retinol assists in managing oil production and superficial scar appearances but requires complementary therapies for profound scar resolution.
Does the consultation cost go towards treatment? Indeed, booking consultations directly secures credit towards subsequent treatments, streamlining care pathways efficiently.
Interested in doing subcision and Bellafill – would that work on texture? Absolutely! Subcision liberates scarred tissues, stimulating collagen, whereas Bellafill fortifies structural integrity, collectively refining overall skin texture.
I’m getting plastic surgery on my body – is it advised to get CO2 laser after or during recovery? Timing hinges on surgical sites; front-facing zones accommodate simultaneous recoveries better than prone positions.
Does subcision make tethering appear because it tries to repair itself from the subcision? With meticulous methodology involving sufficient numbing agents, tethering risks remain negligible, ensuring seamless healing trajectories.
When doing subcision correctly, do you always hear popping or does the patient hear or does it sometimes depend? Audible feedback varies based on several variables, yet tactile sensations consistently indicate effective releases irrespective of sound presence.
Opinion on Sculptra causing scars underneath the skin permanently? Rare occurrences linked to improper dilutions highlight the importance of skilled administration, averting long-term sequelae.
Can a scar grow new skin from an ablative Erbium YAG laser? Definitely, provided judicious application adheres to recommended protocols fostering renewed epidermal layers.
Can tretinoin help with redness post-laser CO2? Balanced utilization of tretinoin post-procedure manages oil levels, preventing undue dryness aggravating residual erythema.
Best way to avoid sagging with subcision? Precision, caution, and adherence to anatomical planes safeguard against undesired laxity, maintaining youthful contours reliably.
How do you decide whether to use Sculptra or Radiesse on a patient? Severity of volume depletion guides Sculptra preferences, whereas Radiesse suits laxity concerns owing to elastin stimulation properties, synergistically enhancing skin quality alongside adjunctive modalities.
Contact My Team Today
If you’re considering treatment, I encourage you to research thoroughly, ask questions, and choose a practitioner who prioritizes your long-term skin health over quick fixes. Your skin deserves nothing less than the safest, most effective care available.
Visit doctorqazi.com to self-schedule a consultation. You can also call/text us at 949-336-7293 for more information.






